ANDREW STEPHEN WILSON DO
NPI 1194229336
Internal Medicine - Interventional Cardiology in Joint Base Lewis Mcchord, WA

Q: What is Andrew Wilson's NPI number?

The NPI number for Andrew Wilson is 1194229336. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Q: What is Andrew Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Wilson was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2018PECOS Enrolled

9040 JACKSON AVENUE, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-1100(253) 968-0100 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Jul 3, 2025, Aug 21, 2023 and 3 more (6 updates tracked since 2018).

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About Andrew Stephen Wilson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW STEPHEN WILSON DO (NPI 1194229336) is an individual interventional cardiology provider in Joint Base Lewis Mcchord, Washington, licensed in Texas (U9389) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194229336

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameANDREW STEPHEN WILSONCredential: DO

Location Address9040 JACKSON AVENUEJoint Base Lewis Mcchord, WA 98431-4504

Mailing Address9040 Jackson AvenueJoint Base Lewis Mcchord, WA 98431-0001 · (253) 968-1100 · Fax (253) 968-0100

Phone(253) 968-1100

Fax(253) 968-0100

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 22, 2018

Last NPPES UpdateJanuary 28, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1194229336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in TX · U9389

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0102205803 (VA)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License DO228356 (OR), OP70055223 (WA)

9040 JACKSON AVENUE, Joint Base Lewis Mcchord, WA 98431

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Secondary Practice Locations 2

Location 12101 NE 139th St Ste 360Vancouver, WA 98686-2313 · Phone (360) 487-1965

Location 2501 N Graham St Ste 200Portland, OR 97227-2000 · Phone (503) 413-4710

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Stephen Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860825890

PECOS Enrollment IDI20260213000002

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY MICHAEL BARRY RN

Registered Nurse

9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (253) 968-2235

DANIEL G NG PHARMD

Pharmacist

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-1110

MS. SUSAN EACCARINO LCSW

Social Worker (Clinical)

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-2252

DR. TAHERA ARSHAD

Internal Medicine

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-2462

PAMELA FINDER PSY.D.

Psychologist (Clinical)

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-1110

CAITLIN BETTGER MD

Internal Medicine (Infectious Disease)

9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431

Pierce County (210) 916-5910

LUKE BOUCHER MD

Internal Medicine (Pulmonary Disease)

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-1110

DR. WILLIAM ALEXANDER KETCHUM MD

Surgery

9040 JACKSON AVENUE
TACOMA, WA 98431

Pierce County (253) 968-2252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Wilson's NPI number?

The NPI number for Andrew Wilson is 1194229336. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Andrew Wilson located?

Andrew Wilson practices at 9040 Jackson Avenue, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-1100.

What is Andrew Wilson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Andrew Wilson enrolled in Medicare?

Yes. Andrew Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Wilson was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.